Evidence map›Paper›PMID 40685880›Full record

ArticleBrain and behavior2025

The Effect of Automated Verbal Commands During Avalanche Transceiver Search on Acute Mental Stress and Arousal-A Mixed-Methods Crossover Field Study.

Bernd Wallner, Fabio Caramazza, Simon Woyke, Manuel Winkler, Ivo B Regli, Peter Mair, Gabriel Putzer, Giacomo Strapazzon, Markus Falk, Hermann Brugger and 1 more

Abstract read
In one paragraph

Article in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Bernd WallnerDepartment of Anaesthesiology and Intensive Care Medicine, Innsbruck Medical University Hospital, Medical University of Innsbruck, Innsbruck, Austria.ORCID https://orcid.org/0000-0002-3746-9537
Fabio CaramazzaDepartment of Anaesthesiology and Intensive Care Medicine, Innsbruck Medical University Hospital, Medical University of Innsbruck, Innsbruck, Austria.
Simon WoykeDepartment of Anaesthesiology and Intensive Care Medicine, Innsbruck Medical University Hospital, Medical University of Innsbruck, Innsbruck, Austria.
Manuel WinklerDepartment of Anaesthesiology and Intensive Care Medicine, Innsbruck Medical University Hospital, Medical University of Innsbruck, Innsbruck, Austria.
Ivo B RegliInstitute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.
Peter MairDepartment of Anaesthesiology and Intensive Care Medicine, Innsbruck Medical University Hospital, Medical University of Innsbruck, Innsbruck, Austria.
Gabriel PutzerDepartment of Anaesthesiology and Intensive Care Medicine, Innsbruck Medical University Hospital, Medical University of Innsbruck, Innsbruck, Austria.
Giacomo StrapazzonInstitute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.
Markus FalkInstitute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.
Hermann BruggerInstitute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.
Katharina HüfnerDepartment of Psychiatry, Psychotherapy, Psychosomatics, and Medical Psychology, University Clinic for Psychiatry II, Innsbruck Medical University, Innsbruck, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCompanion rescue using avalanche transceivers can lead to a disproportionate increase in mental stress and arousal, which can negatively affect performance. The aim of this mixed-methods field study was to assess the effects of automated verbal commands on mental stress and affective responses.

methodsParticipants performed two search trials using avalanche transceivers with either verbal commands (VOICE) or without verbal commands (NO VOICE) in simulated avalanche rescue scenarios. The study assessed perceived mental stress with a visual analogue scale (VAS 1-10 points) and used the Self-Assessment-Manikin with 9-point Likert scales to measure affective response (valence, arousal, and dominance). Semistructured interviews were performed to assess the specific effects of verbal commands.

resultsParticipants reported higher levels of mental stress after the trials than before the trials (-1.2 ± 2.3 points; p ≤ 0.001). A smaller increase (59.0 ± 8.2 s vs. larger increase [81.0 ± 11.5 s]) in mental stress, as detected in participants using VOICE navigation, resulted in shorter coarse search times. VOICE (Δ -1.2 ± 3.2 vs. Δ -0.6 ± 2.7 points; p = 0.041) showed a greater reduction in arousal, resulting in faster coarse search. In the qualitative interviews, the majority described VOICE navigation to be helpful. In the individual semistructured interviews, those subjects reporting a stress reduction through VOICE (38.5 ± 4.7 s vs. no stress reduction [107.4 ± 24.3 s]; p = 0.001) had a significantly faster coarse search time, and those who indicated VOICE to be helpful were faster in the coarse search (p = 0.013).

conclusionsThe study demonstrated that even a simulated avalanche rescue scenario results in increased mental stress levels. VOICE navigation may be an interesting option for companion avalanche rescue since it helps to reduce mental stress and arousal, thereby leading to shorter search times. The most significant limitation of the study was the setting of an experimentally created avalanche scenario, which cannot fully replicate all the environmental and psychological factors of a veritable burial situation.

Indexed as

ArousalAvalanchesStress, PsychologicalAdultCross-Over StudiesFemaleHumansMaleYoung Adultavalanche medicinecompanion rescuetrainingtransceiver searchverbal commands

Identifiers

PMID40685880
PMCPMC12277655

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.